The purpose of questions 1-8 is to obtain information relevant to employment with the State of Ohio.
Responses to these questions are required.
1. Please indicate your county of residence.
2. Summary of Qualifications - In the area below, briefly describe the experience, education, training and other factors that qualify you for the position or
examination for which you are applying. Refer to the Minimum Qualifications and any position-specific qualifications posted for this position or examination.
If you need additional space, attach an extra sheet to this application.
3. Please list below the specific course work areas at the high school level or beyond relevant to the position or examination for which you are applying. Also
indicate the number of courses you have successfully completed in each area. Note: A transcript may not be substituted for this section, although you may be
required to submit a transcript.
4. Are you a current State of Ohio employee?
Yes, I'm a permanent employee
Yes, I'm an interim or intermittent employee
Yes, I'm a temporary, seasonal or project employee
Yes, I'm a fixed term or established term employee
No, I'm not a State of Ohio employee
5. If you are a current State of Ohio employee, please provide your eight (8) digit, OAKS ID number. If you are not a current State of Ohio employee, please
6. If you are not a current State of Ohio employee, have you ever been employed by the State of Ohio? (If you are a current State of Ohio employee, please
Yes No N/A
7. If you were previously employed by the State of Ohio, please choose one of the following:
Employment ended prior to 12-01-2004.
Employment ended on or after 12-02-2004.
N/A - Not previously employed by the State of Ohio or current state employee.
8. How did you learn about this employment opportunity?
I certify that the answers I have made to all of the questions in this application are true and complete to the best of my knowledge. I understand that if
this application is not completed in its entirety, it will not be processed and I will be automatically disqualified. I understand that I am responsible for
the correctness of this application. I also understand that a background check may be required prior to employment and that, in accordance with the
Drug-Free Workplace Program, drug testing may be required. I waive all provisions of law forbidding colleges or universities which I attended, or past
employers, from disclosing any information which they acquired relevant to my employment. I consent that they may disclose such information to the
Human Resources Division, Ohio Department of Administrative Services, and/or the agency that holds the vacancy for which I am applying and to
appropriate officials for recruitment purposes. I understand that any offer of employment is conditional upon proof of legal authorization to work in the
United States as required by the Immigration Reform and Control Act.
Signature of Applicant: Date:
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State of Ohio Employee Referral